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On 12 August 2010, at about 1402 Eastern Standard Time, the pilot of a Piper PA-28-161 (Warrior II) aircraft registered VH-BZE (BZE) was cleared by the Surface Movement Controller (SMC) to taxi to holding point Alpha 2 (A2) for a departure from runway 13R, on a private navigational flight from Moorabbin Airport, Victoria. Following line up checks, the pilot was issued a takeoff clearance for runway 13R. Another aircraft, VH-PVL, that had recently landed on runway 13R was cleared to cross runways 22, 17L and 17R during taxi. The pilot of BZE inadvertently began a take-off roll on runway 17R instead of runway 13R, which resulted in a runway incursion. The aircraft came within 100 m of each other before BZE exited at the first taxiway and returned to the apron. There were no injuries to the occupants and nil damage to either aircraft.

The pilot of BZE became disorientated at holding point A2 as it was a combined entry to both runway 13R and 17R. Information regarding potential runway conflict areas (hotspots) was available for the airport on the Airservices Australia (Airservices) website, but this was not common knowledge to all airport users.

Download Final Report - Bulletin
[ Download PDF: 5.43MB]
 
 
 
 
General details
Date: 11 August 2011 Investigation status: Completed 
Time: 1402 EST Investigation type: Occurrence Investigation 
Location   (show map):Moorabin Airport Occurrence type:Loss of separation 
State: Victoria Occurrence class: Airspace 
Release date: 12 December 2011 Occurrence category: Serious Incident 
Report status: Final Highest injury level: None 
 
Aircraft 1 details
Aircraft manufacturer: Piper Aircraft Corp 
Aircraft model: PA-28 
Aircraft registration: VH-BZE 
Serial number: 28-7916035 
Type of operation: General Aviation-Unknown 
Damage to aircraft: Nil 
Departure point:Moorabin, VIC
Destination:Ballarat, VIC
Aircraft 2 details
Aircraft manufacturer: Piper Aircraft Corp 
Aircraft model: PA-28 
Aircraft registration: VH-PVL 
Serial number: 28R-7335226 
Type of operation: General Aviation-Unknown 
Damage to aircraft: Nil 
Departure point:Unknown
Destination:Moorabin,VIC
 
 
 
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Last update 15 November 2016